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新冠疫情对健康科学专业人员循证实践临床应用的影响。

The Influence of the COVID-19 Pandemic on the Clinical Application of Evidence-Based Practice in Health Science Professionals.

机构信息

Hospital Universitario Marqués de Valdecilla, Servicio Cántabro de Salud, 39011 Santander, Spain.

IDIVAL Nursing Research Group, Faculty of Nursing, Universidad de Cantabria, 39011 Santander, Spain.

出版信息

Int J Environ Res Public Health. 2022 Mar 23;19(7):3821. doi: 10.3390/ijerph19073821.

DOI:10.3390/ijerph19073821
PMID:35409503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8997515/
Abstract

(1) Background: Evidence-based practice (EBP) informs daily clinical interventions with the purpose of seeking changes to traditional practice through scientific evidence that justifies the reasons for our actions. The objectives were to describe the barriers, beliefs, and attitudes in the application of EBP among university health professionals (not doctors) and to evaluate the influence of the COVID-19 pandemic among them. (2) Methods: This prospective study is both descriptive and observational. The individuals under study were university health professionals (not doctors) from various autonomous regions within Spain, in both public and private spheres. Sociodemographic and labor-related variables linked to the research and its completion were studied. Likewise, the survey instrument Health Sciences Evidence-Based Practice questionnaire (HS-EBP) was administered to evaluate the barriers to, beliefs in, and attitudes towards evidence-based practice. (3) Results: A total of 716 responses were gathered, of which 387 were collected during the period of confinement, and 343 in the COVID-19 post-confinement period. Possible associations that might help respond to the objectives were explored through a correlational study between the sociodemographic variables and each sub-scale of the HS-EBP 30 questionnaire ( = 716). (4) Conclusions: Barriers to, beliefs in, and attitudes towards evidence-based practice are described. There is a leadership gap where line management provides insufficient motivation to follow work routines. The COVID-19 pandemic has caused immense stress among health professionals. The post-confinement group showed a significant change in the variables "beliefs and attitudes", and likewise in the "evaluation" block, justified by the need to update knowledge and to apply evidence.

摘要

(1) 背景:循证实践(EBP)为日常临床干预提供信息,目的是通过科学证据寻求对传统实践的改变,证明我们行动的原因。目的是描述大学卫生专业人员(非医生)在应用循证实践中的障碍、信念和态度,并评估 COVID-19 大流行对他们的影响。

(2) 方法:这是一项前瞻性研究,兼具描述性和观察性。研究对象为来自西班牙各自治区的大学卫生专业人员(非医生),包括公立和私立领域。研究了与研究及其完成相关的社会人口学和劳动变量。此外,还使用健康科学循证实践问卷(HS-EBP)评估了循证实践的障碍、信念和态度。

(3) 结果:共收集了 716 份回复,其中 387 份是在禁闭期间收集的,343 份是在 COVID-19 禁闭后收集的。通过对 716 份问卷的社会人口学变量与 HS-EBP30 问卷各子量表之间的相关性研究,探讨了可能有助于回答目标的关联。

(4) 结论:描述了循证实践的障碍、信念和态度。领导层存在差距,一线管理人员提供的激励不足以遵循工作常规。COVID-19 大流行给卫生专业人员带来了巨大压力。禁闭后组在“信念和态度”以及“评估”模块中的变量发生了显著变化,这是由于需要更新知识和应用证据。

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Physiotherapists' perceptions of challenges facing evidence-based practice and the importance of environmental empowerment in fall prevention in the municipality - a qualitative study.物理治疗师对循证实践面临的挑战的看法以及环境赋权在预防市政跌倒中的重要性——一项定性研究。
BMC Geriatr. 2020 Oct 29;20(1):432. doi: 10.1186/s12877-020-01846-8.
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Registered Nurses' Evidence-Based Practice Revisited: A Longitudinal Study in Mid-Career.注册护士的循证实践再探:职业生涯中期的纵向研究。
Worldviews Evid Based Nurs. 2020 Oct;17(5):348-355. doi: 10.1111/wvn.12468. Epub 2020 Oct 12.
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Role of patient preferences in clinical practice guidelines: a multiple methods study using guidelines from oncology as a case.患者偏好在临床实践指南中的作用:以肿瘤学指南为例的多方法研究。
BMJ Open. 2019 Dec 5;9(12):e032483. doi: 10.1136/bmjopen-2019-032483.
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